February 2011

Hilda Bonilla vs. Cameo Cleaners; Tower Select Insurance Company

Cameo Cleaners; Tower Select Insurance Company Hilda Bonilla WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAHILDA BONILLA, Applicant,vs.CAMEO CLEANERS; TOWER SELECT INSURANCE COMPANY, Defendant(s).Case No. ADJ7138792OPINION AND ORDER GRANTING RECONSIDERATION AND DECISION AFTER RECONSIDERATION            Defendant seeks reconsideration of the December 10, 2010 Findings and Order issued by the workers’ compensation administrative law judge (WCJ). Therein, the WCJ found …

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Ganczo Christov vs. Auction Auto Prep Corporation; Zenith Insurance

In this case, the lien claimant, Vasquez Vocational Experts, Inc., sought reconsideration of the Findings and Order issued by the workers’ compensation administrative law judge (WCJ) on December 9, 2010, wherein the WCJ disallowed the lien in the sum of $2,480.00 for an evaluation and report by a vocational expert. The Workers’ Compensation Appeals Board granted the petition for reconsideration, rescinded the December 9, 2010 Findings and Order, and returned the matter to the trial level for the WCJ to conduct further proceedings as necessary and issue a new decision.

Javier Galindo vs. Meat Exporte Corporation; State Compensation Insurance Fund

In this case, Javier Galindo filed a workers’ compensation claim against Meat Exporte Corporation and the State Compensation Insurance Fund. The lien claimant, Elena Konstat, Ph.D., argued that Galindo was employed for more than six months and that she was entitled to payment for her psychiatric treatment charges. The Workers’ Compensation Appeals Board affirmed the WCJ’s Findings and Order, finding that Galindo did not perform six months of actual work for his employer and that his absences from work were due to his industrial injury. Therefore, Konstat was not entitled to payment for her psychiatric treatment charges.

Esiquio Gonzalez vs. Vons Grocery Company, Permissibly Self-insured

Vons Grocery Company, Permissibly Self-Insured Esiquio Gonzalez WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAESIQUIO GONZALEZ, Applicant,Vs.VONS GROCERY COMPANY, Permissibly Self-Insured, Defendant.Case No. ADJ6651801ADJ3758568 (MON 0337147)OPINION AND DECISION AFTER RECONSIDERATION            In order to further study the factual and legal issues in this case, on July 19, 2010, we granted defendant’s petitions for reconsideration of two separate concurrently filed …

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Andrew Martinez vs. City Of Santa Rosa, Permissibly Self-insured; Redwood Empire Municipal Insurance Fund

This case involves a dispute between Andrew Martinez, the applicant, and the City of Santa Rosa, the defendant, regarding the amount of permanent disability payments due to Martinez. The defendant sought to reduce the payments by 15% under Labor Code section 46581, arguing that they had made an offer of regular work within sixty days of Martinez’s disability becoming permanent and stationary. The Workers’ Compensation Appeals Board denied the defendant’s petition for reconsideration, finding that the defendant had failed to comply with sections 4061 and 4650, and had not met its burden to show that it had no obligation to advance payments of permanent disability.

Jose Oliveira vs. River Front Apartments; Illinois Midwest Insurance Agency On Behalf Of Pennyslvania Manufacturers’ Association Insurance Company

This case involves Jose Oliveira, a maintenance worker who sustained an industrial injury to his left shoulder on June 8, 2007. The workers’ compensation administrative law judge issued a Findings and Award, finding that applicant’s permanent disability was 39%. The defendant contested the impairment analysis and the Appeals Board granted the Petition for Reconsideration. After review of the entire record, the Appeals Board affirmed the Findings and Award.

Luis Rios vs. Holmes Body Shop, Inc.; State Compensation Insurance

In this case, Luis Rios is seeking workers’ compensation from Holmes Body Shop, Inc. and the State Compensation Insurance Fund. The Workers’ Compensation Appeals Board granted a petition for reconsideration in order to allow sufficient opportunity to further study the factual and legal issues in the case. All further correspondence, objections, motions, requests and communications must be filed with the Workers’ Compensation Appeals Board in San Francisco.

George Croushorn vs. The Mcintyre Company; American Casualty

(AHM 0045257)

In this case, George Croushorn, an iron worker, sustained an industrial injury to his spine, T-6 paraplegia, legs, arms, head, neurological system, psyche, internal system, and shoulders on September 5, 1995. The parties stipulated that he sustained 100 percent permanent disability. The Mcintyre Company and American Casualty provided some medical treatment, including modifications of applicant’s former and current primary residences. Croushorn incurred further expenses in modifying his vacation home and sought reimbursement from the defendant. The Workers’ Compensation Administrative Law Judge (WCJ) found that, based on the reporting of Drs. Wachs, Potter, and Lewis, applicant is entitled

Edwards Daniels vs. Ucla Medical Center, Permissibly Self-insured; Providence St. Joseph Medical Center; Sedgwick Cms/american Home Assurance

In this case, Edward Daniels was employed by UCLA Medical Center, Providence St. Joseph Medical Center, and Sedgwick CMS/American Home Assurance. He sustained an industrial injury to his lumbosacral spine and psyche on May 31, 2002, and was found to have sustained permanent disability of 70%. UCLA sought reconsideration of this decision, arguing that the WCJ should have adopted the opinion of their qualified medical evaluator, psychologist David Appleton, Psy.D. After reconsideration, it was found that the WCJ erred in not incorporating Dr. Appleton’s opinions regarding permanent disability, and the decision was amended to reflect that applicant’s injury caused permanent disability of 65%. The WCJ also clarified that all

Francisco Hernandez vs. California Employment Development Department, Legally Uninsured; State Compensation Insurance Fund/state Contract Services, Adjusting Agency

In this case, Francisco Hernandez was injured while working as a custodian on May 30, 2007. The California Employment Development Department and the State Compensation Insurance Fund/State Contract Services, Adjusting Agency were the defendants. The WCJ awarded a 15 percent increase in permanent disability because the notice of available work did not issue until June 2010. However, the defendant argued that the offer was made on June 13, 2008, one month after the applicant’s treating physician opined that the applicant could return to full duty. The WCJ granted the defendant’s Petition for Reconsideration and rescinded the Award, returning the matter to the trial level for further proceedings.